General

1. Monitor vital signs at every ap pointment because of cardiovascular and respiratory side effects.

2. Have the patient sit up slowly and remain seated for at least two minutes after being supine in order to minimize the risk of orthostatic hypotension.

3. Decreased saliva flow can put the patient at risk for dental caries, perio-dontal disease, and candidiasis.

4. consider repositioning dental chair to semisupine condition for patient discomfort because of GI side effects.

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